| Doctor Name: | DR. CARLOS AVILES-REYES |
| NPI Number: | 1700165560 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1434 |
| Business Practice Address: | Urb. Paisaje Del Rio Calle C-6 Luquillo, PUERTO RICO - 00773 |
| Business Phone Number: | 7879497369 |
| Business Fax Number: | 7873557802 |
| Mailing Address: | Bo. Lomas K.1.9, P.o.box 2051 CANOVANAS |
| State: | PR |
| Postal Code: | 007292051 |
| Phone Number: | 7879497369 |
| Fax Number: | 7873557802 |
| NPI Enumeration Date: | 08/11/2011 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |